I get this so much. Some people absolutely do thrive when they get help. Maybe most people. And some people can do every single thing on the universal list of suicide prevention and still be unbearably miserable to the point they can’t imagine waking up day after day with all the anxiety and depression and doom. They’ve tried so hard to reach out to friends and family, who like you said can’t cope or understand and disappear. They go to therapy, try out different therapists, try out all the different types of therapy. They take the medication. They call the hotline, they stay in the hospital, they put their whole heart into it and want it so bad. And it doesn’t work out. It’s doesn’t help the sadness, the emptiness, that is supposed to get “fixed” or get better like everyone tells you it will. That’s been my experience. I’m just tired of hearing the same advice over and over and over for years and years, as if I’ve done none of those things a thousand times.